摘要
慢性稳定性心绞痛的介入治疗目前还存在争议,国内、外相关指南及循证医学资料显示:慢性稳定性心绞痛低危患者强化药物治疗在减少缺血事件方面与介入治疗效果相同;对中、高危患者冠状动脉介入治疗可能从中获益。本文从慢性稳定性心绞痛定义、临床特点、循证医学证据、危险评估及冠状动脉介入治疗指征等方面详细阐述了稳定性心绞痛介入治疗策略。
The interventional treatment in the chronic stable angina is still controversial at present. The domestic and foreign relevant guidelines and the documents from evidence--based medicine show the treatment effects on strengthening drug therapy were the same as those of interventional treatment in reducing ischemic events in the patients at low risk in the chronic stable angina. Furthermore, the patients at mediate and high risk may benefit from coro- nary interventional treatment more than strengthening drug therapy. In this paper, the interventional treatment strategies on the stable angina were elaborated in details in the following several aspects including its definition, clinical characteris- tics, evidence--based medical evidence, risk assessment, indications of the coronary interventional treatment, and so on.
出处
《医学与哲学(B)》
2012年第8期8-12,共5页
Medicine & Philosophy(B)
关键词
稳定性心绞痛
临床特点
缺血证据
危险评估
介入治疗
stable angina, clinical features, ischemia evidence, risk assessment, interventional treatment